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Billing Medicare / Medicaid
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Topic: Billing Medicare / Medicaid (Read 4979 times)
awedding4you
Newbie
Posts: 4
Billing Medicare / Medicaid
«
on:
November 11, 2008, 10:00:18 AM »
If a pt has Medicare and Medicaid and the provider of service is not a participant with Medicaid can we the provider bill the patient for the 20% Medicare doesn't cover.
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Speechbilling@yahoo.com
Michele
Administrator
Hero Member
Posts: 5927
Re: Billing Medicare / Medicaid
«
Reply #1 on:
November 11, 2008, 12:06:18 PM »
It may differ from state to state, but in NY the answer is no.
Michele
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Amit_Nischal
Newbie
Posts: 15
Re: Billing Medicare / Medicaid
«
Reply #2 on:
July 14, 2009, 05:20:35 PM »
As i know, in NJ, NY, FL you can not bill pt for the medicare leftover, should be written off. For Maryland state (exception state), can bill pt. for the balance.
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Pay_My_Claims
Guest
Re: Billing Medicare / Medicaid
«
Reply #3 on:
July 14, 2009, 08:40:28 PM »
Its going to cross over from Medicare...then what???
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Amit_Nischal
Newbie
Posts: 15
Re: Billing Medicare / Medicaid
«
Reply #4 on:
July 15, 2009, 03:42:11 PM »
Charlene,
If medicare crossover happens, still can't bill pt. Provider must have enrollment with medicaid.
Thanks,
Amit
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Medical Billing Forum
Re: Billing Medicare / Medicaid
«
Reply #4 on:
July 15, 2009, 03:42:11 PM »
Pay_My_Claims
Guest
Re: Billing Medicare / Medicaid
«
Reply #5 on:
July 15, 2009, 06:10:09 PM »
Amit, I know you can't bill the client, the question was...
Client has medicare & medicaid. Medicare pays and the claim crosses to medicaid..what happens to the claim!!!!!
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PMRNC
Hero Member
Posts: 4562
Re: Billing Medicare / Medicaid
«
Reply #6 on:
July 15, 2009, 07:47:22 PM »
You'll still get an EOB, if provider is non par it will say so with Zero payment.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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Pay_My_Claims
Guest
Re: Billing Medicare / Medicaid
«
Reply #7 on:
July 15, 2009, 07:54:23 PM »
Quote from: PMRNC on July 15, 2009, 07:47:22 PM
You'll still get an EOB, if provider is non par it will say so with Zero payment.
Thank you!!
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Medical Billing Forum
Re: Billing Medicare / Medicaid
«
Reply #7 on:
July 15, 2009, 07:54:23 PM »
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Medical Billing Forum
»
General Category
»
New!
(Moderators:
Alice Scott
,
Michele
) »
Billing Medicare / Medicaid